Postpartale Depression: Mögliche Auswirkungen auf die frühe Mutter-Kind-Interaktion und Ansätze zur psychotherapeutischen Behandlung

Reck, Corinna

doi:10.13109/prkk.2007.56.3.234

Cited by 29 publications

(17 citation statements)

References 14 publications

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“…In addition to PRF, another important factor that may influence maternal sensitivity is postpartum depression (PPD). PPD is prevalent among 10 to 15 % of all new mothers (Reck, 2007). Meta-analytic studies Parental reflective functioning affects maternal sensitivity 5 have confirmed a negative impact of PPD on mother-child interactions, maternal behavior and maternal sensitivity (Beck, 1995;Crockenberg & Leerkes, 2003, Field, 2010Lovejoy et al, 2000;Trapolini, Ungerer, & McMahon, 2008).…”

Section: Introductionmentioning

confidence: 97%

Parental Reflective Functioning Affects Sensitivity to Distress in Mothers with Postpartum Depression

et al. 2018

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Parental reflective functioning (PRF) refers to the capacity of caregivers to reflect upon their children's internal mental states and intentions, which is seen as crucial for parental sensitivity, defined as the adequate behavioral response to an infant's signals. In this study, the effect of maternal PRF on sensitivity during the mother-infant interaction was examined in a clinical sample of 50 mothers who were experiencing postpartum depression and their infants aged three to ten months. Mother and infant were exposed to emotional distress using the still-face procedure. It was hypothesized that low levels of PRF are associated with a decrease in maternal sensitivity in response to distress. Maternal PRF was assessed using the Parental Reflective Functioning Questionnaire (PRF). The subscales measured interest and curiosity in mental states, certainty about mental states (i.e., the recognition of the opacity of mental states), and pre-mentalizing modes (i.e., non-mentalizing modes), whereas sensitivity was evaluated using the Maternal Behavior Q-Sort (Mini-MBQS-V). The results revealed a significant overall decrease in maternal sensitivity. As expected, the higher the scores on the pre-mentalizing modes, which indicated low levels of mentalizing through the mothers' repudiation or defense against it, the greater the decreases in sensitivity. No effects with respect to the interest and curiosity in mental states or the certainty about mental states were found. Our findings determined that the pre-mentalizing modes are predictive of sensitivity to distress in mothers with postpartum depression.

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Section: Introductionmentioning

confidence: 97%

Parental Reflective Functioning Affects Sensitivity to Distress in Mothers with Postpartum Depression

et al. 2018

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“…Betrachtet man das hohe Risiko des Gewalttransfers zwischen den Generationen [7], bedeutet dies ein massives Risiko für die Kinder. Auch die häufig auftretenden Affektstörungen stellen ein erhöhtes Risiko für die Entwicklung der Kinder dar, da diese oft mit geringer Sensitivität der Mütter gegenüber dem Kind einhergehen [3,9].…”

Section: Diskussionunclassified

“…Kinder psychisch kranker und/oder suchtgefährdeter Eltern sind eine Hochrisikogruppe für Vernachlässigung und Kindeswohlgefährdung [1,2,3,4]. Darüber hinaus ergibt sich für diese Gruppe innerhalb unseres Versorgungs-und Beratungssystems eine gravierende Schnittstellenproblematik, da das allgemeine und das medizinische Versorgungssystem den Kinder-und Jugendbereich und das Erwachsenenalter in verschiedenen Segmenten abbildet [5].…”

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Psychisch kranke jugendliche und erwachsene Mütter im Vergleich

Kluth

Stern²,

Trebeš³

et al. 2010

Bundesgesundheitsbl.

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This study enrolled mentally ill mothers from Mecklenburg-Vorpommern, Germany, with children between the ages of 0 and 3 years. Using different self and expert ratings, psychological symptoms, social support, parental stress, and behavior of the children were assessed. Teenage mothers and adult mothers were compared using the mean values of the data. The data of 104 mothers were included; 46.1% of the mothers were younger than 20 years of age when they gave birth. All mothers show a variety of psychological problems. While adult mothers had significantly more affective and anxiety disorders, teenage mothers had significantly more eating disorders and sexual abuse in their histories. Young mothers reported subjectively significantly less social support and more parenting stress than older mothers. The children in both subgroups are described as unremarkable. More than 80% of the mothers had at least one contact with youth welfare, a general practitioner, or a pediatrician, while only 23% used psychiatric or psychological help. The data show a high level of stress in both groups and there is a great need for support from the medical sector as well as from youth welfare.

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“…Dies stellt eine wichtige Maßnahme der Früherkennung von psychischen Entwicklungsrisiken dar, und eröfnet die Mög-lichkeit gezielter Förderungen zur Entwicklung dieser aus unserer Sicht basalen psychischen Kompetenz. Wie wichtig und wirksam frühe präventive Hilfen sind, zeigt sich deutlich im hohen Unterstützungsbedarf von Eltern von psychisch kranken Kindern (Jungbauer u. Meye, 2008) oder von besonders belasteten Familien (Reck, 2007). Auch die Eizienz von Programmen, die sich an sozial emotionalen Kompetenzen orientieren, unterstreicht die Bedeutsamkeit und den Nutzen von früher Förderung (Bowi, Ott, Tress, 2008;Naggl u. hurmair, 2008).…”

Section: Ergebnisseunclassified